CMS Price Transparency Data
Neurobehavioral status check
Facility: Cumberland Medical Center
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$215
about 1.0× the $221 Medicare rate · typically $184–$289
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $215 Cash price $69 Hospital's list price $224
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $112 - $320 | 51% |
| Blue Cross Blue Shieldmajor | $47 - $320 | 21% |
| Aetnamajor | $90 - $320 | 41% |
| Cignamajor | $114 - $320 | 52% |
| Humanamajor | $314 | 142% |
| Ambetter (Centene) | $134 | 61% |
| Devoted Health | $320 | 145% |
| WellCare | $320 | 145% |
| + 10 smaller / regional plans | $101 - $293 |
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Cumberland Medical Center
Compare: Neurobehavioral status check at other TN hospitals
- Unity Medical Center · Manchester $77
- Saint Thomas Hickman Hospital · Centerville $78
- Blount Memorial Hospital · Maryville $83
- Williamson Medical Center · Franklin $91
- Tristar Ashland City Medical Center · Ashland City $96
- University Health System, Inc · Knoxville $115
- Parkridge Medical Center · Chattanooga $131
- Tristar Stonecrest Medical Center · Smyrna $136
Insurance negotiated median for the same procedure, sorted lowest first.